Mental Capacity Act (MCA) Policy
The Mental Capacity Act (MCA) protects your money, health and welfare, if you cannot make all your own decisions.
Mental Capacity Act policy and appendices
- Mental Capacity Act (MCA) policy (PDF, 642.6 KB)
- MCA 1 - appendix - form recording the outcome of an assessment (PDF, 102.7 KB)
- MCA 2 - appendix 2 recording assessment of capacity for significant decisions (PDF, 115.7 KB)
- MCA 3 - appendix 3 Determination of Best Interests (PDF, 129.8 KB)
- MCA 4 policy 4 Best Interests Guidance- appendix 4 (PDF, 1006 KB)
- MCA 5 policy - appendix 5 Best Interests checklist (PDF, 146.8 KB)
- MCA 6 policy - appendix 6 Mental Capacity decisions flowchart (PDF, 78.5 KB)
- MCA policy 7 - appendix 7 Advance Decision Guidance (PDF, 520.3 KB)
- MCA policy 8 - appendix 8 Advance Care Planning - NHS Guidance (PDF, 1.1 MB)
- MCA policy 9 - appendix 9 Lasting Powers of Attorney (LPA) checklist (PDF, 160.3 KB)
- MCA policy 10 - appendix 10 Guidance with applying to the Court of Protection (PDF, 499.7 KB)
- MCA policy 11 - appendix 11 Useful websites (PDF, 42.3 KB)
What is MCA and why does it matter?
- You may be unable to make all your own decisions because of dementia, stroke or brain injury or a learning disability or mental health problem.
- You may have the capacity to make everyday decisions, but not to make larger, more complex decisions.
- You may have the capacity to make decisions one day but not the next.
- Your capacity to make decisions might improve or get worse over time.
For further information, download our What is mental capacity and why does it matter? leaflet.
How MCA affects family, friends and unpaid carers
The Act protects your rights and is relevant to anyone who has a relative or friend who may lack capacity. It covers major decisions about someone's property and financial affairs, health and welfare and where they live.
- It covers everyday decisions about personal care, when the person cannot make those decisions for themselves.
- It clarifies the process for caring for people who may lack capacity.
- It clarifies how decisions should be made for your relative or friend if they are unable to make those decisions for themselves.
- It sets out when you should be consulted about decisions made on behalf of your relative or friend.
- It sets out how your relative or friend is protected when others are making decisions on their behalf.
- It enables you to plan for a time when you may lack capacity.
You can find out more about mental capacity and planning ahead, including making and registering a Lasting Power of Attorney on the gov.uk website.
What if a person has nobody to support them?
The Independent Mental Capacity Advocate (IMCA) Service provides an independent safeguard to support people who lack capacity to make important decisions for themselves and who have nobody to support them.
Visit POhWER Gloucestershire to find out more.
Useful MCA resources
Documents
- COVID-19 MCA guidance (PDF, 95.3 KB)
- COVID-19 MCA - guidance for GPs (PDF, 116.8 KB)
- MCA - easy to read guide (PDF, 2.8 MB)
- MCA code of practice (PDF, 1.4 MB)
Useful links
- Making decisions about your health, welfare and finances... who decides when you can't?
- How to make decisions under the Mental Capacity Act
- NHS - what is the Mental Capacity Act?
- Social Care Institute for Excellence - Mental Capacity Act resource
- Mental Capacity Act - making decisions
- Court of Protection cases on 39 Essex Chambers website
- Age.uk - Power of attorney
- Gloucestershire Safeguarding Adults Board
Liberty Protection Safeguards (LPS)
In July 2018, the government published a Mental Capacity (Amendment) Bill, which passed into law in May 2019. It replaces the Deprivation of Liberty Safeguards (DoLS) with a scheme known as the Liberty Protection Safeguards (LPS).
The new legislation was delayed due to the pandemic and is now is expected to come into force April 2022.
LPS will create new responsibilities for NHS Trusts and clinical commissioning groups (CCGs).
The code of practice and regulations are still being written. While these are being written, we are planning how best to support these changes. Once we know more, a new set of webpages will be launched.
You can find more information about the planned changes on the following websites:
The Social Care Institute of Excellence guidance on Liberty Protection Safeguards
Mental Capacity Law and Policy's briefing on LPS
Government consultation
Changes to the MCA Code of Practice and implementation of the LPS
- LPS consultation presentation (PPTX, 2 MB) - 8 and 13 June 2022
- Changes to the law and guidance about making your own decisions (easy read)
- Draft Code of Practice for Mental Capacity Act (MCA) / LPS
- Summary of the draft Code of Practice
- Consultation on proposed changes to the Mental Capacity Act 2005 Code of Practice and implementation of the Liberty Protection Safeguards Including the Liberty Protection Safeguards secondary legislation
- LPS factsheets